| Lazy Horse Ranch Inc | |
|
675 Giulio Cesare Ave Sierra Vista AZ 85635-2564 | |
| (520) 826-2206 | |
| Not Available |
| Full Name | Lazy Horse Ranch Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 675 Giulio Cesare Ave, Sierra Vista, Arizona |
| Authorized Official Name and Position | Ann M Supplee (DIRECTOR/OWNER) |
| Authorized Official Contact | 5208262206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lazy Horse Ranch Inc 3651 E Doe Ranch Rd Pearce AZ 85625-6002 Ph: (520) 826-2206 | Lazy Horse Ranch Inc 675 Giulio Cesare Ave Sierra Vista AZ 85635-2564 Ph: (520) 826-2206 |
| NPI Number | 1609198571 |
|---|---|
| Provider Enumeration Date | 02/19/2010 |
| Last Update Date | 02/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609198571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CSA09ADHS0188 (Arizona) | Primary |
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